Provider Demographics
NPI:1962667915
Name:LABADY, ANTONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONY
Middle Name:
Last Name:LABADY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1467 JOHN ROBERT DR. SUITE B
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260
Mailing Address - Country:US
Mailing Address - Phone:770-892-1543
Mailing Address - Fax:770-892-1730
Practice Address - Street 1:1467 JOHN ROBERT DR. SUITE B
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1513
Practice Address - Country:US
Practice Address - Phone:770-892-1543
Practice Address - Fax:770-892-1739
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA063084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine